Endocrinologist, Chennai

Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.

More about Dr. Jayapal

Dr. Jayapal is one of the best Endocrinologists in Avadi, Chennai. You can meet Dr. Jayapal personally at Sri Krishna Clinic in Avadi, Chennai. You can book an instant appointment online with Dr. Jayapal on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 33 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Plese contact in person with any homoeopath physician for taking case history. Or with me on chat site the patient will recover 100%
please send detailes about the patient
2. Ignatia 1m give her one drop 6 hourly for 9 days.

Hi, you are suffering from dm, so you must be knowing food. Take small and frequent meal. Don`t fast. Consume low fat, low carbs diet. Avoid fried, fast and junk food. Take more dietary fiber from salad, vegetables and less sweet fruit. Avoid cold and energy drink. Restrict your calorie input and do exercise daily.

With tsh level 10.03 mil unit/ml, doctor must have already suggested the treatment with thyroxine tablets, dosage depends on weight and tsh levels. Please start the same and keep checking thyroid levels periodically to see the dosage is enough or needs to be increased. Along with that exercise regularly to avoid gaining weight. Also avoid soya and soya containing foods, cabbage, cauliflower, broccoli, mustard, radish, peanuts and coffee. Increase consumption of green leafy vegetables, salads, fruits and use whole grain flour for making roti and chapati.

Your medicine appear to be under dosed as per your sugar level. With the proper medicine, regular exercise and diet modification we can rasily control your sugar levels. Revert with your last hba1c aling with other recent reports for better insight into your problem.

Hello intact slimming pills are not much help. You have to reduce your dietary intake by 15 to 20 per cent daily, then increase your exercise to about one and half hour at least 5 to 6 days a week. Totally avoid deep fried foods and direct sweets. Target a reduction of 2 kg per month. Then you may be able achieve it.

MBBS, PG in Family Medicine, FDRC (2 years full time Fellowship in Diabetes)

Endocrinologist, Surat

Your husband may require insulin for better control along with oral drugs, diet control and regular exercise. Please get a Diabetologist consultation nearby as early as possible so as to avoid any complication in future.

dear friend
fasting sugar is done after a period of prolonged fast of about 12 hours, while randon sugar is done during any time of the day, the diagnosis of diabetes is based of a fasting and a 2h post 75 gm glucose load BSL. random sugar indicates towards likely hood of sugar abnormality.

lybrate-user, Thanks for the query.
During pregnancy it is absolutely essential to maintain TSH levels if the following manner: 1st trimester: 0.1 to 2.5 mU/L, 2nd trimester: 0.3 to 3 mU/L & 3rd Trimester: 0.3 to 3.1 mU/L. Your present level is bit too high. It is better to increase Levothyroxine tablets from 62.5 to 87.5 (by 25 mcg per day) and check TSH after 4 to 6 weeks. For proper fetal development and desired outcome of pregnancy TSH should be maintained in the above range. If you have any doubts please do come back. Thanks.

Hello lybrate-user
taking glycophage (metformin) even wen your blood sugar levels are normal is not mandatory.
If you have a family history of diabetes or you r over weight, or habit of smoking and alcohol, you need to work out on your diet n activity.
Increase your daily walks n avoid lifts.
Avoid alcohol, no-veg, fried food, rice. You can start with glycophage if risk factors r there.
Regards.

Thyroid is the metabolic hormone of the body. If you are hypothyroid then your metabolism will slow down. But it all depends from person to person. It is also true that your body fat will reduce slower than a a person with normal levels of thyroid. But you can always keep your levels in check by following a discipline lifestyle and eating clean and exercising well
To maintain a low body fat and/or lower body fat:
1. Exercise at least 5 times per week
2. Eat whole/unprocessed foods at regular intervals, while being aware of physical hunger/fullness cues
3. Sleep 7-9 hours per night
4. Don’t engage in extreme diets
5. Stay consistent with your habits
6. Incorporate non-exercise physical activity
7. Ignore food advertising
You need a fat loss diet which comprises of whole grains like jowar, bajra, wheat, brown rice, pulses like moong, musoor, bengal gram, lots of vegetables, fruits, eggs, fish, chicken, paneer, healthy oil, nuts and seeds. You need to eat them in right proportion. Avoid eating sugar and sweets, refined foods like maida, noodles pasta, White rice and products, bread. Drink a lot of water.

Once diabetes is detected apart from taking proper it is essential to take suitable diet which will depend on weight, level of physical activity and sugar levels. So it is usually a patient specific diet. General things to be kept in mind are use whole grain flour (n0 maida), very little oil, more green salads, less of potatoes, use multiple grains etc.

For diabetics control you have to do many like have to have balanced/diabetic diet maintain your weight as per your height and weight means ht 100cm +weight in kg. Do regular morning walk followed by free hand exercises. Along with medicines. Best thing would be to consult a endocrinologist/, diabetologist.

Advice - take a homeopathic treatment with diet plan. All are temporary treatment as per provided information, for permanent cure we need detail history and investigations. Homeopathy is best, safe and effective. We treated every day 2-3 patients of this type of problem with no side effects, no worries our 94% success rates makes sure we're the complete package. You can contact us for Homeopathic Treatment. 7 Best Foods to Include in a Hypothyroidism Diet
eating certain foods can help in improving the functions if the thyroid glands and regulate metabolism, heart rate, mood, body temperature and blood pressure.
Fish
Fish is the first and most important food item in the list of healthy foods for the natural treatment for hypothyroidism because of its essential fatty acids content. The healthy omega 3 fatty acids present in oily fishes like salmon, tuna, sardines and trout helps t reduce inflammation, improve immune power and lower the risk of heart diseases in people suffering from hypothyroidism.
Baked fish
In addition, fish is a wonderful source of selenium which is most concentrated in the thyroid gland and improves its functions.
Nuts
No need to worry about sudden food cravings when you have such healthy snacks to munch on. Nuts are another amazing source of selenium that makes them an important food to be included in the diet for thyroid disorder. Some of the healthiest nuts which are loaded with selenium are Brazil nuts, hazelnuts and macadamia nuts that help in maintaining proper functions of the thyroid gland.
Nuts
Eating just one or two Brazil nuts every day is enough to get the daily nutrients but in case of other nuts a small handful should be the daily serving. But you should always be careful about the portion size because nuts are high in fat.
Antioxidant-Rich Fruits and Vegetables
A fruit and vegetable detox diet plan is exceptionally popular among health conscious people because these foods help cleanse the system and flush out toxins from the body. But antioxidant rich fruits and vegetables are extremely beneficial for controlling hypothyroidism as well. They work almost like natural remedies for hypothyroidism by controlling weight gain â one of the main hypothyroid symptoms.
Fruits and vegetables for hypothyroidism
Fruits and vegetables which are especially high in nutrients such as antioxidants and B vitamins benefit the workings of the thyroid gland. Some of the best antioxidant-rich fruits and vegetables to eat for hypothyroidism are blueberries, cherries, bell peppers, tomatoes, sweet potatoes, etc.
Whole Grains
One of the common signs of hypothyroidism is unexplained constipation, and one of the best ways to solve this problem without the use of laxatives is the addition of some fiber to the diet in the form of whole grains. Some of the healthiest whole grains are brown rice, quinoa, bulgur, oats, etc. And although most of us use oatmeal for weight loss purposes, only it can also help normalize and regularize bowel movement.
Whole Grains
But, it is important to take your thyroid medications several hours before or after eating fiber-rich foods because fiber can interfere with thyroid medications.
Fortified Dairy Products
One of the most common causes of hypothyroidism is the Hashimotoâs disease, which is associated with vitamin D deficiency.
Dairy Products
Fortified milk and dairy products like yogurt, curd, cottage cheese not only contain added vitamin D but also other nutrients like iodine, proteins and calcium â all of which are helpful for controlling the symptoms of hypothyroidism.
Beans
We are all aware of the amazing bean sprouts health benefits, nut not many know that beans are beneficial for treating hypothyroidism as well. People suffering from hypothyroidism often feel drained and tired. Beans are a wonderful source of sustained energy that contains antioxidants, proteins, complex carbs, vitamins, and minerals. Moreover, which beans there are numerous varieties to try from.
Lentils
You can add beans to soups, salads, stews and side dishes to enhance the taste.
Seaweed
Seaweed is a rich source of iodine â an essential nutrient for thyroid function that works like a precursor for the production of thyroid hormone. Seaweed
Seaweed varieties such as dulse, nori and wakame can be used in soups and salads, and it works better than iodine supplements. In addition, seaweed also contains calcium, fiber, and vitamins A, B, C, E and K.
7 Foods to Avoid in a Hypothyroidism Diet
Hypothyroidism is a tricky health condition and the foods you eat have a huge impact on the treatment. There are certain foods that inhibit the bodyâs capacity to absorb the replacement hormones that are part of the thyroid treatment. Eating smart will help you to feel better and control the symptoms in a successful manner. Here are the 7 foods to avoid with hypothyroidism.
Soy Products
Thyroid symptoms in women can be controlled by limiting the consumption of soy and soy-based products. The phytoestrogens present in soybean and soy-rich foods inhibit the functions of the enzyme thyroid peroxidase that forms the thyroid hormone.
Beans and Soya Products
Consuming too many soy products may increase a personâs risk of developing hypothyroidism. The worst thing is that the goitrogenic activity of soy isoflavones is not destroyed even by cooking.
Cruciferous Vegetables
Although eating fruits and vegetables to lose weight is really effective, a certain group of vegetables- specifically cruciferous vegetables can have negative effects on the functions of the thyroid gland. Cruciferous vegetables block the glandâs ability to absorb iodine which is necessary for normal thyroid function.
Cruciferous Vegetables
People suffering from hypothyroidism should limit the intake of broccoli, Brussels sprouts, cabbage, kale, cauliflower, bok choy, turnips, etc. However, cooking these vegetables can reduce their goitrogenic effect.
Gluten
Gluten is a particular type of protein found in processed forms of grains like wheat, barley, rye, etc. And people with gluten intolerance are recommended to avoid gluten rich foods. People with hypothyroidism should also consider limiting the intake of gluten because it can irritate the small intestine and hinder absorption of thyroid hormones from replacement medication.
Gluten-food
But you can consume a limited quantity of whole grains like brown rice, multi-grain bread, and pasta in order to improve bowel irregularity.
Fatty Foods
Unhealthy fats such as transfats and saturated fatty acids destroys the bodyâs capacity to absorb thyroid hormones from replacement medicines. Fats also interfere with the thyroid glandâs ability to produce the hormones as well.
Trans Fats
Therefore, it is best to cut out all types of fatty foods and fried foods like French fries, chips, fried chicken, butter, margarine, mayonnaise and fatty cuts of meat like prime rib and bacon.
Processed Foods
Processed foods and ready to eat meals are usually high in sodium and people with hypothyroidism should stay away from sodium. Processed foods such as cookies, cakes, pasta, bread, and pretzels increase not only blood sugar levels but also blood pressure.
Fried and Processed Foods
People with hypothyroidism are already at risk of developing hypertension and sodium-rich foods only make things worse. People with risk of high blood pressure should limit their sodium intake to 1500 milligrams per day.
Sugary Foods
Hypothyroidism affects the bodyâs metabolism and causes it to slow down thereby promoting weight gain, so a person with hypothyroidism should be really careful about fatty and sugary foods. Therefore, a hypothyroidism diet should be free from sugar because sugar has lots of empty calories and no nutrients.
Sugary cereals
Even sugar substitute Aspartame should also be avoided because excessive intake of aspartame promotes the onset of Gravesâ disease, which causes thyroid problems by turning the immune system against the thyroid gland.
Alcohol and Caffeine
Alcohol wreaks havoc on the functions of the thyroid gland and the levels of thyroid hormone in the body. Alcohol has a noxious effect on the thyroid gland, and it suppresses the capacity of the body to use the thyroid hormone in an effective manner. Therefore, it is best to cut out the consumption of alcohol completely for best results.
Alcohol
We all know about the numerous disadvantages of coffee and it has been seen that caffeine also hampers the healing properties of the thyroid medications by preventing the absorption of the medicines in the intestine.
Top 5 Healthy Foods to be Included in the Hyperthyroidism Diet
In this list, you might notice that certain foods that are harmful to hypothyroidism are beneficial in case of hyperthyroidism. Following a well-balanced diet rich in necessary nutrients can help manage and prevent hyperthyroidism effectively. Let us check out the 5 best foods to eat for hyperthyroidism.
Omega 3 Fatty Acids
This is one of the most important nutrients that is necessary for controlling the symptoms of hyperthyroidism, but the human body cannot produce this nutrient on its own and, therefore, it has to be supplemented with foods. It helps to balance the endocrine system and help to maintain thyroid levels in the body. Omega 3 Fatty Acids
Fish is an amazing source of omega 3 fatty acids. Those who are not into fish can get this nutrient from nuts, olive oil, and flaxseed oil.
Vitamin D Rich Foods
Our bones are in a continuous state of regeneration and turnover in which old bones are worn out and replaced by new growth. But prolonged untreated hyperthyroidism speeds up this natural turnover process such that bone degeneration out spaces deposition of new bone and this imbalance leads to reduces bone strength and increased risk of bone fracture.
Vitamin D Rich Foods
Vitamin D is a vital nutrient for bone health so increased intake of vitamin D-rich foods such as fortified milk, and fatty fish helps to improve bone strength.
Protein-rich Foods
Proteins are not only necessary for a healthy bodybuilding diet; they are equally important for managing hyperthyroidism as well. Abnormal weight loss is a common symptom of hyperthyroidism, therefore, eating enough protein is necessary in order to ensure healthy body weight and maintain muscle mass.
Protein foods
Chicken, turkey, eggs and fish are the best non-vegetarian sources of protein. Vegetarians can get their daily dose of protein from beans, lentils and nuts. Each and every meal of a hyperthyroid diet must include protein-rich foods.
Dairy Products
Untreated hyperthyroidism or Gravesâ disease causes bone loss and eventually lead to osteoporosis. Even if the disorder has been treated through medication, the patient will still need calcium in order to rebuild the weak and worn out bones. The best food source of calcium is dairy products like milk, cheese, and yogurt.
Dairy products
People with lactose intolerance can get plenty of calcium from fortified foods like soy milk, fortified whole grain cereals, bread and fortified orange juice. A person should have at least 3 servings of dairy products on a daily basis.
Cruciferous Vegetables
Although cruciferous vegetables are included in the list of foods to avoid in case of hypothyroidism, they have positive effects in case of hyperthyroidism. Vegetables like broccoli, cauliflower and kale have a goitrogenic effect which helps to suppress the production of thyroid hormone by the thyroid gland and manage the symptoms of hyperthyroidism successfully.
Cruciferous Vegetables
It is recommend consuming 1 or more serving of cruciferous vegetables every day for best results.
5 Foods to Avoid in a Hyperthyroidism Diet
There are certain hyperthyroidism diet restrictions which help in better management of the condition. Here is a list of foods that should be avoided if a person has thyroid disorders.
Foods High in Iodine
Although iodine rich foods are beneficial for hypothyroidism, they have an opposite effect in the case of hyperthyroidism. The thyroid gland is extremely sensitive to iodine, and a large amount of iodine in foods can further aggravate hyperthyroidism by promoting the gland to produce more thyroxine hormone and speed up metabolism further.
Salt and Preservatives
Therefore, it is best to stay away from iodine-rich foods like seaweed, kelp, salt, processed foods and fried foods.
High GI Carbs
Hyperthyroidism interferes with carbohydrate metabolism and blood sugar balance, but it is not a good idea to give up carbohydrates completely because it is the main source of energy for the proper functioning of the body. Therefore, it is best to choose the carbs with great care in order to keep the blood sugar level in the normal range and reduce the risk of diabetes which is strongly linked with thyroid disorder.
Spoons with groats
Avoid high-glycemic carbohydrates like white flour, sugary foods, and ready to eat breakfast cereals, etc. And opt for fiber-rich carbohydrates such as whole grains, barley, oats, and lentils instead.
Food Allergens
Consuming foods that you are allergic to can worsen the symptoms of hyperthyroidism which may include rashes, abdominal pain and cramps, diarrhea, breathing problems, etc. In addition, these allergens also slow down the recovery process of the disease.
Gluten-food
Therefore, it is best to avoid suspected food allergens like gluten, soy, corn and artificial food additives. Choose gluten free starches, instead. A formal test helps identify the foods that a person is allergic to.
Hydrogenated Vegetable Oils
Hydrogenated vegetable oils are one of the main food items that should be avoided if a person has hyperthyroidism. The hydrogenation process makes the oils heavier to digest, and they are mainly used for increasing the texture, color and flavor of foods. But hydrogenated oils are loaded with unhealthy trans fats that have a negative impact on the levels of hormone and cholesterol in the body.
Potato chips
Therefore, it is best to stay away from foods containing hydrogenated vegetable oil like crackers, onion rings, chips, donuts and packed food products.
Caffeine
Caffeine-rich foods like coffee, tea, chocolate and cola aggravates the hyperthyroidism symptoms such as nervousness, anxiety, palpitations, rapid heart rate and weight loss. It also interferes with mood balance, sleep and effectiveness of thyroid medications. Coffee Therefore, doctors recommend staying hydrated by drinking plenty of non-caffeinated drinks like water, lemon water, herbal teas, broth-based soups, fresh fruits and low-fat milk.
So, now that you have some idea about the foods you should eat and avoid in case if thyroid disorders, plan out your diet accordingly and continue with your thyroid medications to lead a healthy life even with hypothyroidism or hyperthyroidism.
Note - Please do all these things under the supervision of Consultant.

Mr. Lybrate-user, to say diabetes is under control - fasting should be closer to 100 mg, pp should be 150 to 160 mg and hba1c<6.8. If you have maintained this then it is good. If not then that is the main contributor for ed.
Secondly you have to completely stop tobacco, there is no alternative. Because nicotine is harmful to coronary arteries as well as other blood vessels especially in diabetes.